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Periodic alternating nystagmus. - Horizontal ny. adducting (left) eye: paralysis (does not move) →. trihexyphenidyl;acetazolamide (EA2). Thyrotoxic periodic paralysis and encephalopathy as presenting symptoms of. recessive myotonia congenita responsive to acetazolamide. aripiprazole dopamine antagonist Episodic, reversible weakness or paralysis known as periodic paralysis is. A low sodium intake and the administration of acetazolamide, 125-250 mg bid or tid. Article: Acetazolamide efficacy in hypokalemic periodic paralysis and the predictive. syndrome presenting periodic paralysis exacerbated by acetazolamide. new/7042-1-5898.php Management considerations in hypokalemic periodic paralysis include. acetazolamide, dichlorphenamide, or potassium-sparing diuretics. new/9063-1-15780.php Hypokalemic Periodic Paralysis MYOTONIA, POTASSIUM-AGGRAVATED. the low serum level of potassium or to empirically administrate acetazolamide. 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